
  <div class="x_panel">
    <div class="x_content row">
      <div class="col-xs-12">
        <form class="form-horizontal form-label-left" action="{$actionUrl}" method="post" enctype="multipart/form-data">
          <div class="form-group">
            <label class="control-label col-md-2 col-sm-4 col-xs-12">合作商名称：<b style="color:red">*</b></label>
            <div class="checkbox col-md-10 col-sm-8 col-xs-12">
              <input class="form-control col-md-3 col-xs-12" required="required" type="text" name="form[partner_name]" value="">
            </div>

            <label class="control-label col-md-2 col-sm-4 col-xs-12">联系人：<b style="color:red">*</b></label>
            <div class="checkbox col-md-10 col-sm-8 col-xs-12">
              <input class="form-control col-md-3 col-xs-12" required="required" type="text" name="form[linkman]" value="">
            </div>
            <label class="control-label col-md-2 col-sm-4 col-xs-12">联系电话：<b style="color:red">*</b></label>
            <div class="checkbox col-md-10 col-sm-8 col-xs-12">
              <input class="form-control col-md-3 col-xs-12" required="required" type="text" name="form[linkphone]" value="">
            </div>
            <label class="control-label col-md-2 col-sm-4 col-xs-12">联系邮箱：<b style="color:red">*</b></label>
            <div class="checkbox col-md-10 col-sm-8 col-xs-12">
              <input class="form-control col-md-3 col-xs-12" required="required" type="text" name="form[linkemail]" value="">
            </div>
            <label class="control-label col-md-2 col-sm-4 col-xs-12">FTP服务器账号：<b style="color:red">*</b></label>
            <div class="checkbox col-md-10 col-sm-8 col-xs-12">
              <input class="form-control col-md-3 col-xs-12" required="required" type="text" name="form[ftp_username]" value="">
            </div>
            <label class="control-label col-md-2 col-sm-4 col-xs-12">FTP服务器密码：<b style="color:red">*</b></label>
            <div class="checkbox col-md-10 col-sm-8 col-xs-12">
              <input class="form-control col-md-3 col-xs-12" required="required" type="text" name="form[ftp_password]" value="">
            </div>
            <label class="control-label col-md-2 col-sm-4 col-xs-12">状态：<b style="color:red">*</b></label>
            <div class="checkbox col-md-10 col-sm-8 col-xs-12">
              <input class=""  type="radio" name="form[partner_status]" value="1" checked="checked">是
              <input class=""  type="radio" name="form[partner_status]" value="0">否
            </div>
            <label class="control-label col-md-2 col-sm-4 col-xs-12">备注：</label>
            <div class="checkbox col-md-10 col-sm-8 col-xs-12">
              <input class="form-control col-md-3 col-xs-12" type="text" name="form[partner_remark]" value="">
            </div>

          </div>
          <div class="col-md-3 col-sm-12 col-xs-12 col-md-offset-4 col-sm-offset-4">
            <button class="btn btn-primary" type="submit">添加</button>
          </div>
        </form>
      </div>
    </div>
  </div>

